LEVI IVAN MAES


Address: 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267
Phone: 5754724311

LEVI IVAN MAES (NPI# 1730472085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730472085
Entity Type Individual
Full Name LEVI IVAN MAES
Credential M.D.
Practice Address 117 Camino De Vida
Suite 300
Santa Rosa
NM 88435-2267
Practice Telephone 5754724311
Practice Fax Number 5754724313
Mailing Telephone 5754724311
Mailing Fax Number 5754724313
Enumeration Date 2011-05-19
Last Update Date 2015-08-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD2013-0604 NM Allopathic & Osteopathic Physicians

Office Location

Street Address 117 CAMINO DE VIDA
SUITE 300
City SANTA ROSA
State NM
Zip Code 88435-2267

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346249968 Guadalupe County General Acute Care Hospital 117 Camino De Vida, 100, Santa Rosa, NM 88435-2874 2005-07-15
1164055927 Sunrise Clinics Counselor 117 Camino De Vida, Santa Rosa, NM 88435-2267 2020-02-19
1720432271 Laura Mardo Nurse Practitioner 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 2016-04-21
1316388051 Michael Lee Saiz Nurse Practitioner 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 2013-07-10
1093153850 Guadalupe County Pharmacy 117 Camino De Vida, 200, Santa Rosa, NM 88435-2267 2013-06-13
1326334814 Miranda C Haley Family Medicine 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 2011-06-22
1467750653 Cassidy Ruth Huffman Counselor 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 2011-03-11
1124107446 Sunrise Medical Group, PC Clinic/Center 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2874 2006-11-06
1639255300 Antje Postl Nurse Practitioner 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 2006-10-27
1376636159 Randal Warren Brown Family Medicine 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 2006-10-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326548322 Katherine E Cerico Physical Therapist 1972 Historic Route 66, Santa Rosa, NM 88435 2018-02-15
1770017055 Michael Montoya Social Worker 724 Park Lake Drive, Santa Rosa, NM 88435 2017-04-13
1447592498 Mark Land Grossetete Psychiatry & Neurology 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 2013-03-17
1962743534 De Baca Family Practice Clinic Clinic/Center 552 Us Hwy 54, Santa Rosa, NM 88435 2013-03-07
1861728032 Sonya Mireles Counselor 501 S Fourth St, Santa Rosa, NM 88435 2009-10-23
1255664231 Victoria N Silva Counselor 501 S. Forth St., Santa Rosa, NM 88435 2009-09-09
1922039171 Santa Rosa Medical Clinic Internal Medicine 533 Lake Dr, Santa Rosa, NM 88435 2006-07-06
1134455306 Anita Valencia Counselor 501 S Fourth St, Santa Rosa, NM 88435 2009-10-23
1952621070 Erica Nicole Romero Social Worker 260 N 3rd St, Santa Rosa, NM 88435-2006 2010-06-11
1982749453 Guadalupe County Pharmacy 117 Camino De Vida Ste 200, Santa Rosa, NM 88435-2267 2007-02-21
Find all providers in zip 88435

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346889581 Herbert Carey Pratt Family Medicine 4210 Thomas Lake Harris Dr Apt 217, Santa Rosa, CA 95403-5793 2020-01-06
1346883998 Teresa Su Family Medicine 2200 County Center Dr Ste C, Santa Rosa, CA 95403-3000 2019-10-25
1114468568 Erica Kumala Family Medicine 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403-2149 2017-03-18
1922413673 Aurora Alejandra Gomez Selpides Family Medicine 2240 Mercury Way, Santa Rosa, CA 95407 2014-06-20
1467745950 Courtney King Family Medicine 4702 Starbuck Ave, Santa Rosa, CA 95409 2011-05-17
1801186648 Adam Crawford Francis Family Medicine 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-1757 2011-04-13
1811217003 Dora Alicia Martinez Family Medicine 122 Fm 506, Santa Rosa, TX 78593-0226 2010-06-10
1558518290 John Andrew Carollo Jr. Family Medicine 5555 Montgomery Dr Apt 36, Santa Rosa, CA 95409-5597 2008-08-25
1154577831 Sutter Medical Group of The Redwoods Family Medicine 500 Doyle Park D., 200, Santa Rosa, CA 95405 2008-08-13
1013175918 Lucia Dei Roncalli Family Medicine 1010 Sundown Trl, Santa Rosa, CA 95404-1115 2008-05-28
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 88435

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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